聚乙二醇电解质散联合西甲硅油在胶囊内镜检查中应用.docVIP

聚乙二醇电解质散联合西甲硅油在胶囊内镜检查中应用 　【摘 要】 目的 观察聚乙二醇电解质散联合不同剂量西甲硅油在胶囊内镜检查中应用效果。方法 将80 例行胶囊内镜检查的健康体检者随机分为实验组（聚乙二醇电解质散2 盒、西甲硅油300 mg）和对照组（聚乙二醇电解质散2 盒、西甲硅油80 mg），观察患者肠道清洁程度以及肠道内气泡存在情况.并观察有无不良反应。结果 两组肠道清洁有效率均达100%，无统计学差异；实验组小肠肠道内的气泡量少于对照组，二组比较差异有统计学意义(p＜0.05)。均无出现明显不良反应。结论 聚乙二醇电解质散联合西甲硅油应用于胶囊内镜检查，能够有效清洁肠道、祛除肠道内的气泡，其祛泡效果还与西甲硅油的使用剂量相关。 【关键词】 聚乙二醇电解质散；西甲硅油；胶囊内镜 [Abstract] Objective To observe the effectiveness of polyethylene glycol electrolyte powder plus different dose of simethicone in the Capsule endoscopy examination. Methods 80 health people were randomly divided into experimental group and control group. The experimental group was given two boxes of polyethylene glycol electrolyte powder plus 300 mg of simethicone, and the control group was given two boxes of polyethylene glycol electrolyte powder plus 80 mg of simethicone, then observe the intestinal tract of cleanliness level and the presence of air bubbles, and observe if some adverse reactions were happened. Results Both groups of the efficiency rate of cleanliness level were 100%, no significant difference between them. To observe The bubbles of the bowel, the experimental group?s was less than the control group?s, there was statistically significant difference between two groups (P lt; 0.05). And there was no apparent adverse reactions in two groups. Conclusion polyethylene glycol electrolyte powder plus simethicone was used in Capsule endoscopy examination could effectively clean the intestinal tract and obviously eliminate the bubbles of the bowel, and the cleanliness level was relevant to the dose of simethicone. [Keywords] polyethylene glycol electrolyte powder; simethicone; Capsule endoscopy 胶囊内镜是小肠疾病最重要的检查手段之一，由于胶囊内镜不具备传统胃肠镜的冲洗、抽吸功能，因此，良好的肠道准备在胶囊内镜检查中至关重要。如何提高胶囊内镜检查中肠道准备的质量，国内外学者做了大量研究工作，还未取得一致标准。我们采用聚乙二醇电解质散联合西甲硅油进行肠道准备，收到满意的效果，现报告如下。 1 资料与方法 1.1 资料来源 自2008 年1 月至2011 年6 月到我院行胶囊内镜检查的健康体检者，随机分为实验组（聚乙二醇电解质散2 盒、西甲硅油300 mg）和对照组（聚乙二醇电解质散2 盒、西甲硅油80 mg）各40 例，两组在年龄、性别差异上无统计学意义，具有可比性。 1.2 试剂及仪器 西甲硅油乳剂（柏西，艾普